RC 964
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ADMINISTRATION ANESTHESIA - PERINEUM,Not Medical Necessity without ABN, Monitored anesthesia care
Low
$474
Average
$14.2k
Median
$16.4k
High
$24.9k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 43.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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9 hospital rates
iThe hospitals that file a Premera rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $172 | $206 | $104 | 51% | — | $71 – $431 |
| 2 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $330 | $703 | $709 | 101% | — | $58 – $3.2k |
| 3 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · outpatient | 1 | $13.3k | $14.7k | $5.2k | 36% | — | $9.2k – $21.8k |
| 4 | Mount Carmel East Reynoldsburg, OH facility · other · outpatient | 1 | $10.4k | $24.0k | $28.0k | 116% | — | $3.3k – $111.0k |
| 5 | Mount Carmel Grove City Grove City, OH facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | Mount Carmel Grove City Grove City, OH facility · other · outpatient | 1 | $19.3k | $19.1k | $12.6k | 66% | — | $3.3k – $46.2k |
| 7 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · other · outpatient | 1 | $26.1k | $24.9k | $15.4k | 62% | — | $1.5k – $46.2k |
| 8 | Mount Carmel St Ann's Lewis Center, OH facility · other · outpatient | 1 | $11.8k | $16.4k | $13.8k | 84% | — | $3.3k – $46.2k |
| 9 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $382 | $474 | $270 | 57% | — | $150 – $1.2k |
← Payers reporting RC 964 · Snapshot 20261111T120946Z-9134e7f7